Individual
TARA JO KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S JEFFERSON ST, KITTANNING, PA 16201-2416
(724) 543-2941
(724) 548-8119
Mailing address
300 S JEFFERSON ST, KITTANNING, PA 16201-2416
(724) 543-2941
(724) 548-8119
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN279771
PA
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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